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UNESCO HIV and Health Education Clearinghouse

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  1. Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries

    Comprehensive sexuality education (CSE) is a key component of efforts to improve sexual and reproductive outcomes for young people. While many governments have established policies and curricula for CSE, there are no quantitative measures of the quality of their implementation in schools. This article describes the construction of a school-level index to measure CSE implementation quality using data from Peru, Guatemala, Kenya and Ghana for validation. …

  2. Evaluation of a school-based sexuality and HIV prevention activity in South Africa. Midline qualitative report

    With support from the United States Agency for International Development (USAID) and in partnership with the South African National Department of Basic Education (DBE), the MEASURE Evaluation project is conducting an impact evaluation of the implementation of scripted lesson plans (SLPs) and supporting activities that were developed to increase the rigor and uniformity of a life skills program for in-school youth. …

  3. Towards comprehensive sexuality education: a comparative analysis of the policy environment surrounding school-based sexuality education in Ghana, Peru, Kenya and Guatemala

    The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. …

  4. Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: case studies of Ghana, Kenya, Peru and Guatemala

    School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …

  5. Turning inside out

    UNESCO in partnership with Ministry of Education and with financial support from the Government of the Republic of Azerbaijan, community and Civil society organizations implemented a two year Health Literacy and Behaviour Change practices among Adolescent Girls pilot project from September 2014-September 2017 in 41 schools. Health literacy materials were evaluated and approved by Kenya Institute of Curriculum Development (K.I.C.D.) for use in other informal settlements. This is a story aimed at what we call ‘level 1’ (ages 10-12). …

  6. Strengthening sexual and reproductive health and HIV prevention among children and young people through promoting comprehensive sexuality education in Eastern and Southern Africa: End-term evaluation report 2013-2015

    Increasing children’s and young people’s knowledge on sexual and reproductive health and rights (SRHR) is seen as a critical component in reducing a large number of challenges in Eastern and Southern Africa (ESA), including HIV and AIDS, teenage marriage, and teenage pregnancy in particular. While access to education remains a challenge for many children in the region, the provision of comprehensive sexuality education (CSE) in school settings is considered an effective way to educate children and young people on SRHR. …

  7. Impact evaluation of a school-based sexuality and HIV prevention education activity in South Africa: baseline survey report

    Gaining the knowledge and skills necessary to make healthy choices about sexual behavior as adolescent learners transition to young adulthood is key to controlling the potentially devastating effects of the HIV/AIDS epidemic. …

  8. School-based sexual health education interventions to prevent STI/HIV in sub-Saharan Africa: a systematic review and meta-analysis

    The authors reviewed evaluations of school-based sexual health education interventions in sub-Saharan Africa to assess effectiveness in reducing sexually transmitted infections and promoting condom use.

  9. Strengthening education in West and Central Africa by improving learners’ sexual and reproductive health

    West and Central Africa (WCA) is the region of the world with the largest percentage of young people and the highest gender disparity in education.

  10. Sexuality education in rural Lesotho schools: challenges and possibilities

    The aim of this paper is to present and discuss some of the obstacles to effective sexuality education in rural Lesotho schools and offer some suggestions that could facilitate positive change in the current status of sexuality education. The call for education as a ‘vaccine’ against new HIV infections places teachers at the forefront of the fight against the pandemic, and thus it is imperative to understand how they experience teaching about sexuality. …

  11. ‘You need to have some guts to teach’: teacher preparation and characteristics for the teaching of sexuality and HIV/AIDS education in South African schools

    Using in-depth interviews, the authors asked sexuality educators in South Africa about their own professional preparation and what they believed were necessary educator characteristics for teaching Sexuality Education. Their findings show that the teachers taught Sexuality Education without any appropriate qualification or preparation, but because they had a lighter teaching load and had room to take on more teaching hours. Nevertheless, they all mention that ‘not anybody can teach Sexuality Education’. …

  12. Life orientation sexuality education in South Africa: Gendered norms, justice and transformation

    Research on sexual practices among young South Africans has proliferated in light of the national imperatives to challenge the spread of HIV/AIDS, gender-based violence and unwanted early pregnancies. It has been widely acknowledged that, in order to respond to these social problems, we need to understand the enmeshment of gender, class, age and other forms of social inequality, and how these are played out in ‘normal’ heterosexual relationships.

  13. Scaling up comprehensive sexuality education in Nigeria: from national policy to nationwide application

    Nigeria is one of few countries that reports having translated national policies on school-based comprehensive sexuality education (CSE) into near-nationwide implementation. We analysed data using the World Health Organization-ExpandNet framework, which provides a systematic structure for planning and managing the scaling up of health innovations. We examined how Nigeria's nationwide programme was designed and executed. Since 2002, Nigeria has developed a well thought through strategy to scale up CSE. …

  14. Comprehensive sexuality education: the challenges and opportunities of scaling-up

    This publication is part of an ongoing programme of work initiated by UNESCO in 2008 to provide technical guidance and implementation support for sexuality education programmes, as a platform for HIV prevention, treatment and care. It emphasizes the challenges and opportunities for scaling up comprehensive sexuality education in school settings. Building on indepth interviews with key informants involved in past and ongoing work on sexuality education, this publication provides conceptual and practical guidance on definitions and strategies for scaling-up. …

  15. The World Starts With Me: using intervention mapping for the systematic adaptation and transfer of schoolbased sexuality education from Uganda to Indonesia

    Evidence-based health promotion programmes, including HIV/AIDS prevention and sexuality education programmes, are often transferred to other cultures, priority groups and implementation settings. Challenges in this process include the identification of retaining core elements that relate to the programme’s effectiveness while making changes that enhances acceptance in the new context and for the new priority group. This paper describes the use of a systematic approach to programme adaptation using a case study as an example. …

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